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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PHYLLIS DENISE HAYNES

Active Sole Proprietor

PHYLLIS DENISE HAYNES is a Podiatric Surgery healthcare provider located in BOGART, Georgia. NPI 1750992913 is currently active in the NPPES registry. Verify at CMS.

Podiatric Surgery · BOGART, GA

Registration Details

NPI Number
1750992913
Provider Type
Individual
Gender
Female
NPI Issued
Aug 12, 2020 (6.0265825129378 yrs)
Last Updated
Aug 12, 2020
Sole Proprietor
Yes

Practice Information

Address
1111 GLENWOOD LN
BOGART, GA, 306222396
Browse GA providers · Browse ZIP 30622
Phone
7062021577
Primary Specialty
Podiatric Surgery
3747A0650X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.